Complications after stapled hemorrhoidectomy: can they be prevented?
Complications after stapled hemorrhoidectomy: can they be prevented?
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DOI：
10.1007/s101510200018
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发表时间：
2002-09-01
影响因子：
3.3
通讯作者：
Tagariello, G B
中科院分区：
文献类型：
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作者：
Ravo, B;Amato, A;Tagariello, G B
吻合器痔切除术 (SH) 是一种治疗痔疮的新方法，可切除齿状线上方约 4 厘米的环形粘膜带。对来自 12 个意大利结肠直肠中心的 1,107 名接受 SH 治疗的患者进行的审查显示，并发症发生率为 15% (164/1,107)。直接并发症（第一周）为：5.0%的患者出现剧烈疼痛、出血（4.2%）、血栓形成（2.3%）、尿潴留（1.5%）、吻合口裂开（0.5%）、裂隙（0.2%）、会阴壁内血肿（0.1%）和粘膜下脓肿（0.1%）。 24% 的患者通过手术治疗出血，15% 的患者通过 Foley 插入术治疗出血；并通过2%的肾上腺素渗透； 53% 的出血患者未接受治疗，6% 需要输血。一名吻合口裂开的患者需要盆腔引流和结肠造口形成。 1周后最常见的并发症是2.3%的患者痔疮复发、剧烈疼痛(1.7%)、狭窄(0.8%)、裂隙(0.6%)、出血(0.5%)、皮垂(0.5%)、血栓(0.4%)、乳头肥大(0.3%)、粪便尿(0.2%)、钉书钉问题(0.2%)、胀气肠胃胀气和大便失禁（0.2%）、壁内脓肿、部分裂开、粘膜隔膜和肠套叠（各
Stapled hemorrhoidectomy (SH), a new approach to the treatment of hemorrhoids, removes a circumferential strip of mucosa about four centimeters above the dentate line. A review of 1,107 patients treated with SH from twelve Italian coloproctological centers has revealed a 15% (164/1,107) complication rate. Immediate complications (first week) were: severe pain in 5.0% of all patients, bleeding (4.2%), thrombosis (2.3%), urinary retention (1.5%), anastomotic dehiscence (0.5%), fissure (0.2%), perineal intramural hematoma (0.1%), and submucosal abscess (0.1%). Bleeding was treated surgically in 24%, with Foley insertion 15%; and by epinephrine infiltration in 2%; 53% of patients with bleeding received no treatment and 6% needed transfusion. One patient with anastomotic dehiscence needed pelvic drainage and colostomy formation. The most common complication after 1 week was recurrence of hemorrhoids in 2.3% of patients, severe pain (1.7%), stenosis (0.8%), fissure (0.6%), bleeding (0.5%), skin tag (0.5%), thrombosis (0.4%), papillary hypertrophy (0.3%) fecal urency (0.2%), staples problems (0.2%), gas flatus and fecal incontinence (0.2%), intramural abscess, partial dehiscence, mucosal septum and intussusception (each